Healthcare Provider Details

I. General information

NPI: 1114842507
Provider Name (Legal Business Name): SHELLINA TOURE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 DIXWELL AVE STE 300A
HAMDEN CT
06518-3159
US

IV. Provider business mailing address

98 BASSETT ST
NEW HAVEN CT
06511-1833
US

V. Phone/Fax

Practice location:
  • Phone: 860-333-5638
  • Fax:
Mailing address:
  • Phone: 203-645-7361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9088
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: